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    What causes a pea sized knot on the abdomen?

Posted on Fri, 11 Aug 2017 in Lump
Question: My wife has a small knot about pea size on her right side. If you imagin a line from her belly button around to the right side and just above the waist line. You can only feel if you push in about 1/2 inch. It is painful if touched. She is known to have cysts on her overies but I would thing that would be more to the front. No other symptoms
Answered by Dr. T Chandrakant 25 minutes later
Brief Answer:
Needs Ultrasound and guided FNAC

Detailed Answer:
Thanks for your query, albeit short and specific.
Note the history about about your wife and understood your concerns.
Such a small knot that is deep seated in the abdominal wall that can be felt on deep palpation is usually due to the following reasons.
- Lump that can not be really defined only on history; can be neuroma or so.
- Lipoma is a possibility but usually moves easily and usually painless/ non-tender.
- Sebaceous cyst: being from the dermis, is usually very superficial and easily palpable and non-tender.

This is not related to the ovarian cysts.
Hence I would advise you the following:
Ultrasonography and ultrasound guided FNAC that is fine needle aspiration cytology can give the most proper diagnosis and plan whether to remove this or not.
I hope this answer helps you.
Please feel free to ask for further relevant queries if you feel that there is a gap of communication.

Above answer was peer-reviewed by : Dr. Remy Koshy
Follow up: Dr. T Chandrakant 7 minutes later
It does not feel hard it seems to move a little when pressing on it. She was worried about cancer and such. It feels almost like it is on muscle or tendons. Does that make any sense
Answered by Dr. T Chandrakant 10 minutes later
Brief Answer:
Tissue diagnosis is the only way.

Detailed Answer:
I can understand the concerns that you both have.
I may not be a cancer; unless proved otherwise.
Hence the necessity of Ultrasound and FNAC and if possible excision.
Removal makes two things possible:
One gets rid of the lump which is not a normal part o the body.
And one gets a 100% diagnosis by histopathology reports and stress free.

Cancer should be talked about only after tissue confirmation to get the stress and anxiety-free.
I hope this helps you both, further.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
Follow up: Dr. T Chandrakant 22 minutes later
If I may ask one more thing. What organs are in that area and it sounds like it is most likely something benign?
Answered by Dr. T Chandrakant 50 minutes later
Brief Answer:
As detailed.

Detailed Answer:
If he lump is in the abdominal wall, there are no organs.
Deep down there are kidney, ascending colon, small intestine.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
Answered by
Dr. T Chandrakant

General Surgeon

Practicing since :1984

Answered : 13473 Questions


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